| Autor: |
Martinez, Clarisa, Bacon, Helen, Rowe, Veronica, Russak, David, Fitzgerald, Erin, Woodbury, Michelle, Wolf, Steven L., Winstein, Carolee |
| Zdroj: |
Archives of Physical Medicine & Rehabilitation; Nov2020, Vol. 101 Issue 11, p2015-2026, 12p |
| Abstrakt: |
To adapt the Reaching Performance Scale for Stroke (RPSS) for the Wolf Motor Function Test (WMFT) "Lift Can" (Can) and "Hand to Box" (Box) items. Retrospective analysis of video-recorded WMFT assessment performed by 3 raters on 2 occasions. Not applicable. Participants (N=29) with mild to moderate upper extremity impairment less than 3 months after stroke. Not applicable. Inter- and intra-rater agreement, concurrent validity of WMFT-RPSS. Mean ± SD inter-rater Gwet's agreement coefficient (AC 2) was 0.61±0.05 for Can WMFT-RPSS and 0.56 (0.03) for Box. Mean ± SD intra-rater AC 2 for Can was 0.63±0.05 and 0.70±0.04 for Box. WMFT-RPSS Can and Box scores correlated with log mean WMFT time (C, -0.73; B, -0.48), Functional Ability Scale (C, 0.87; B, 0.62), Upper Extremity Fugl-Meyer Motor Score (C, 0.69; B, 0.51), and item movement rate (C, 0.74; B, 0.71) (P <.05 for all). Mean ± SD WMFT-RPSS score across the 29 participants was 12.7±3.5 for Can (max score, 19) and 11.4±3.0 for Box (max score, 16). WMFT-RPSS demonstrated moderate intra-rater and weak-to-moderate inter-rater agreement for individuals with mild-moderate impairment. For construct validity, Can and Box WMFT-RPSS were significantly correlated with 4 standardized measures. Average WMFT-RPSS scores revealed that some participants may have relied on compensatory movements to complete the task, a revelation not discernable from movement rate alone. The WMFT-RPSS is potentially useful as a valid and reliable tool to examine longitudinal changes in movement quality after stroke. • A modified Reaching Performance Scale for Stroke (RPSS) may detect restitution from compensation in Wolf Motor Function Test (WMFT) tasks. • WMFT-RPSS had moderate intra-rater and weak-moderate inter-rater agreement. • WMFT-RPSS was significantly correlated with other functional measures. • Participants demonstrated compensation not evident from task time alone. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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